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Contact Information

SELISIA JERRY, RN
521 BEACH 72ND ST APT 2
ARVERNE, NY11692-1128
 Phone: 347-592-0938
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for SELISIA JERRY · (Female)

NPI Number 1255681094
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 09/19/2012
Last updated 09/19/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 661307
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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